Wilson, David A.
Wilson, David A. is an individual health care provider with primary practice located at 755 Walther Rd , Lawrenceville GA 30046-8725. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Wilson, David A. can be contacted via phone (770) 962-0399.Contact Information
Primary practice address
755 Walther Rd
Lawrenceville GA 30046-8725
Phone: (770) 962-0399
Fax: (770) 995-0533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 39267 | Georgia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 39267 | Georgia |
Profile Details
| NPI number | 1265428445 |
|---|---|
| LBN Legal business name | Wilson, David A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jun 29th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265428445 | NPPES |
| Georgia | MEDICAID | 00622993A |
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